Provider Demographics
NPI:1063634004
Name:HELSEL, MARLENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:
Last Name:HELSEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3228 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-3004
Mailing Address - Country:US
Mailing Address - Phone:405-842-1028
Mailing Address - Fax:
Practice Address - Street 1:3228 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3004
Practice Address - Country:US
Practice Address - Phone:405-842-1028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical